Abstract: Objective: To explore the status of rumination and perceived hospital care atmosphere in nursing interns of cancer hospital, and to analyze the correlation between them and the influencing factors of rumination. Methods: With convenient sampling, nursing interns in a grade A tertiary cancer hospital in Tianjin were investigated by using general information questionnaire, perception of hospital caring environment scale and ruminative responses scale in January 2023. Results: The total score of perceived hospital care atmosphere was 232.22±22.63, the total score of rumination was 46.19±7.53. Perceived hospital care atmosphere was negatively correlated with rumination (r=-0.425, P<0.01). Multivariate regression analysis showed that family relations, the intention of employment to engage in nursing and perceived of teach nurses to give patients explained an additional 24.9% of the variation in rumination. Conclusion: Rumination in nursing interns of cancer hospital is at a high level. It is necessary to take measures to improve perceived hospital care atmosphere among nursing interns so as to reduce rumination.

Key words: Rumination, Perceived hospital care atmosphere, Nursing interns, Cancer hospital

摘要： 目的：了解肿瘤医院实习护生反刍思维、医院关怀氛围感知的现状，分析二者的相关性及反刍思维的影响因素。方法：采用便利抽样的方法，于 2023 年 1 月选取天津某三级甲等肿瘤专科医院的实习护生作为研究对象，采用一般资料调查表、医院关怀氛围感知量表和反刍思维量表对其进行调查。结果：实习护生的医院关怀氛围感知总分为（232.22±22.63）分，反刍思维总分为（46.19± 7.53）分，医院关怀氛围感知总分与反刍思维总分呈负相关（r=-0.425，P＜0.01）。多元线性回归分析显示，家庭关系、就业从事护理意向及带教教师给予病人关怀的感知解释了反刍思维的 24.9%的变异。结论：肿瘤医院实习护生反刍思维水平较高，护理管理者应针对影响因素采取相关措施，提高护生的医院关怀氛围感知，降低反刍思维水平。

关键词: 反刍思维, 医院关怀氛围感知, 实习护生, 肿瘤医院